Free vascularized toe-joint transfer in hand reconstruction: a series of 25 patients.
Twenty-eight vascularized toe-joint transfers performed on 25 patients were reviewed. A number of different techniques were used: proximal interphalangeal joint or metacarpophalangeal joint reconstruction, one-stage double joint transfer, and interphalangeal thumb or trapezometacarpal joint replacement. Using these types of vascularized joint transfer allows one-stage composite transfer (including skin, bone, and extensor tendon) and provides rapid bone healing, potential growth in the young, good long-term cartilage preservation, normal lateral stability in pinch, and limited but useful range of motion (mainly at the proximal interphalangeal level).
Foucher
G
G
SOS MAIN, Strasbourg, France.
Sammut
D
D
Citron
N
N
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D005384:Finger Joint / Q000601:surgery; D005385:Fingers / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008866:Microsurgery / Q000379:methods; D013524:Surgical Flaps / Q000379:methods*; D013997:Time Factors; D014033:Toe Joint / Q000601:surgery*